Community Physical Therapy

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

002159 Issued in NY

Legal business name

COMMUNITY PHYSICAL THERAPY

Practice address

6284 Woodhaven Blvd
Rego Park, NY 11374-3738

Phone

(718) 424-9531

Fax

(718) 424-2695

NPI assigned

Oct 18, 2006

Last updated

Jul 30, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Roslyn Sofer, P.T.NPI 1528143120

Title

Owner

Phone

(718) 424-9531

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roslyn Sofer, P.T.

  • Physical Therapist
  • Rego Park, NY
  • NPI 1528143120
  Authorized official Same address or phone
• Helen McCarthy Reep, P.T

  • Physical Therapist
  • Rego Park, NY
  • NPI 1356467146
  NPD (past)
• Brian Thomas Uniacke, P.T.

  • Physical Therapist
  • Rego Park, NY
  • NPI 1407037997
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1396826020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6284 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743738",
            "telephone_number": "718-424-9531",
            "fax_number": "718-424-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6284 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743738",
            "telephone_number": "718-424-9531",
            "fax_number": "718-424-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "SOFER",
        "authorized_official_first_name": "ROSLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-424-9531",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "002159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "Q24011",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDE NUMBER",
            "identifier": "ANC 1250",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Anthony Colletti, LCSW
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• Orthopedic Physical Therapist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.